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Similarities and Differences in Bone Mineral Density between Multiple Sites in the Same Individual: An Elderly
Keita Nishi1, Daisuke Endo2,3, Takashi Hasegawa4
1Department of Oral Anatomy and Dental Anthropology, Graduate School of Biomedical Sciences, Nagasaki University, 1-7-1 Sakamoto, Nagasaki, Nagasaki 852-8588, Japan.
Biomed Research International
|June 17, 2022
Summary
Bone mineral density (BMD) decreases with age, particularly in trabecular bone for men and cortical bone for women. Assessing cortical bone density is crucial for older women.
Area of Science:
- Orthopedics
- Gerontology
- Radiology
Background:
- Bone mineral density (BMD) varies significantly across skeletal sites.
- Limited research exists on the relationship between BMD at trabecular and cortical bone sites within individuals.
- Factors influencing BMD include loading, microstructure, and ossification.
Purpose of the Study:
- To measure BMD at multiple skeletal sites using whole-body CT scans post-mortem.
- To investigate similarities and differences in BMD between various bone regions.
- To examine factors influencing BMD variations, including age, sex, loading, microstructure, and ossification.
Main Methods:
- Whole-body computed tomography (CT) images were acquired immediately post-mortem from 60 individuals (28 men, 32 women; mean age 84.0 years).
- A 3D model with BMD data was created for the skull, clavicle, lumbar vertebrae, and femur (neck and diaphysis).
- BMD was measured at defined sites within these regions.
Main Results:
- BMD showed a negative correlation with age across all measured regions, with a weaker association in the skull.
- The age-related decline in BMD was more pronounced in trabecular bone areas for men and cortical bone areas for women.
- Site-specific factors like loading environment, bone microstructure, and ossification influence BMD.
Conclusions:
- Age and sex significantly impact BMD, with distinct patterns in trabecular versus cortical bone.
- Skeletal site characteristics play a crucial role in determining BMD.
- Evaluating cortical bone density is particularly important for assessing bone health in elderly women.
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